Incidence and Prognosis of Mechanical Complications of STEMI After Primary Angioplasty: Data From a Single-center Registry of an Infarction Code Program

Navarro-Cuartero, Javier; Córdoba-Soriano, Juan G.; Jiménez-Mazuecos, Jesús; Gutiérrez-Díez, Antonio; Gallardo‐López, Arsenio; Melehi, Driss

doi:10.1016/j.rec.2016.04.032

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…By shortening STEMI patients’ D-to-B time, myocardial ischemia time can be reduced; this also decreases the scope of myocardial infarction [35]. The incidence of complications is thus brought down and alleviates the patient’s symptoms quickly; bodily functions can also recover faster [36, 37]. Hence hospital stay is shortened, hospital costs are reduced and this optimizes the usage of valuable medical resources.…”

Section: Discussionmentioning

confidence: 99%

Applying WCACG modified process is beneficial on reduced door-to-balloon time of acute STEMI patients

Li¹,

Liu²,

Li³

et al. 2019

BioMedicine

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Background: Various systems have employed with the objective to reduce the time from emergency medical services contact to balloon inflammation for ST-elevation myocardial infraction (STEMI) patients. The WCACG message system was used to an alternative communication platform to improve confirmation of the diagnosis and movement to treatment, resulted in shorten the door-to-balloon (D-to-B) time for STEMI patients. Methods: We collected 366 STEMI patients admitted at the Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People’s Hospital, Department of Cardiology, during the period from June 2013 to October 2015. The patients were divided into two groups one underwent the current GC processes and the other group was handled using WCACG system. We compared between two groups with several indicators including D-to-B time, duration of hospitalization, associated costs, and incidence of adverse cardiovascular events. Results: The results show that the new method with WCACG system significantly reduced the average D-to-B time (from 100.42 ± 25.14 mins to 79.81 ± 20.51 mins, P < 0.05) compared to the GC processes, and also reduced the duration, costs and undesirable cardiac incidence during hospitalization. Conclusions: The modified WCACG process is an applicable system to save pieces of time and efficiently integrate the opinions of experts in emergency.

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Section: Discussionmentioning

confidence: 99%

Applying WCACG modified process is beneficial on reduced door-to-balloon time of acute STEMI patients

Li¹,

Liu²,

Li³

et al. 2019

BioMedicine

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“…Las complicaciones mecánicas comprenden a la ruptura del septum interventricular (RSI), ruptura de pared libre ventricular (RPL) y la ruptura de músculo papilar (RMP), las cuales han experimentado una disminución significativa en su incidencia con respecto a la era prefibrinolítica. Sin embargo, los pacientes con grandes infartos o aquellos que no reciben revascularización oportuna tienen un riesgo alto de complicaciones mecánicas y presentan una mortalidad elevada (3)(4)(5) . En los Estados Unidos la incidencia y mortalidad intrahospitalaria de las complicaciones mecánicas posinfarto de miocardio con elevación del segmento ST es del 0,27 y 42,4%, respectivamente, y en los infartos de miocardio sin elevación del ST es del 0,06 y 18,0% (6) .…”

Section: Introductionunclassified

Complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional

Alva

Gómez

Moreno

2022

Arch Peru Cardiol Cir Cardiovasc

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Objetivo. Determinar las características clínicas, terapéuticas y la mortalidad intrahospitalaria de los pacientes con complicaciones mecánicas posinfarto de miocardio (IM). Materiales y métodos. Estudio observacional, descriptivo y retrospectivo. Se incluyó a pacientes > 18 años con diagnóstico de complicación mecánica pos-IM hospitalizados en el Instituto Nacional Cardiovascular (INCOR) en Lima-Perú, del 1 de enero de 2017 hasta el 31 de diciembre de 2021. Se estudiaron variables clínicas, terapéuticas, complicaciones y mortalidad intrahospitalaria. Resultados. Se registraron 37 casos, con predominio del sexo masculino (73,0%) y mediana de edad 73 años. La localización del infarto fue en la pared anterior (51,4%) y en la pared inferior (43,2%). Los pacientes recibieron fibrinólisis en cinco casos (13,5%); angioplastia coronaria en cinco casos (13,5%), y el 73% recibieron solo manejo médico previo al diagnóstico de complicación mecánica. De los 37 pacientes, 13 (35,1%) presentaron rupturas de la pared libre ventricular aislada; 12 (32,4%) ruptura de septo interventricular aislada; 10 (27,0%) la combinación ruptura de pared libre ventricular y septo interventricular, y 2 (5,4%) ruptura de músculo papilar. La mortalidad intrahospitalaria fue del 51,4%. Conclusiones. La ruptura de la pared libre ventricular fue la complicación más frecuente; los pacientes con complicaciones mecánicas posinfarto de miocardio presentan tasas de mortalidad intrahospitalaria elevadas, principalmente en aquellos que no reciben tratamiento quirúrgico adecuado.

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“…3 The problem of cardiogenic shock-related mortality was ameliorated in a time-related fashion (presentation to balloon time) by PA. 4 It has been shown in studies that timely reperfusion with PA reduces the mechanical complication rates in STEMI patients. 5,6 Although a very effective procedure at reducing mortality, PA specially with the trans-radial route comes with its own learning curve that improves with experience. 7 PA has its own set of procedural complications.…”

Section: Introductionmentioning

confidence: 99%

Safety of Early Discharge after Primary Angioplasty

Rehmat

Hussain²

2020

J Coll Physicians Surg Pak

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Incidence and Prognosis of Mechanical Complications of STEMI After Primary Angioplasty: Data From a Single-center Registry of an Infarction Code Program

Cited by 6 publications

References 6 publications

Applying WCACG modified process is beneficial on reduced door-to-balloon time of acute STEMI patients

Applying WCACG modified process is beneficial on reduced door-to-balloon time of acute STEMI patients

Complicaciones mecánicas posinfarto de miocardio en un hospital de referencia nacional

Safety of Early Discharge after Primary Angioplasty

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